LYSHA ERIN WOOD M.A. NPI 1689922296

NPI Information

  • NPI: 1689922296
  • Provider Name: LYSHA ERIN WOOD, M.A.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1015 TYRONE RD STE 710
    TYRONE, GA
    ZIP 30290
  • Phone: (770) 468-3266

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NPI Details

Lysha Erin Wood, M.A. is a professional counselor in Tyrone, GA. Lysha Erin Wood, M.A. NPI is 1689922296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1015 TYRONE RD STE 710
TYRONE, GA
ZIP 30290-455
Phone: (770) 468-3266

The enumeration date for this NPI number is 8/29/2012 and was last updated on 4/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor2043WEST VIRGINIANo
2101YP2500XCounselorProfessionalLPC007168GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10005489001MEDICAIDWEST VIRGINIA
20005489002MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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